Individual provider Active NPI

Sandra Bisio Jansen, M.S.W., L.I.C.S.W.

  • Clinical Social Worker
  • Sharon, MA
National Provider Identifier
1851450308
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
105863 Issued in MA
Practice address
95 Moose Hill Pkwy
Sharon, MA 02067-1730
Phone
(781) 784-1796
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 105863 MA Primary

Addresses

Primary practice location

95 Moose Hill Pkwy
Sharon, MA 02067-1730

Mailing address

95 Moose Hill Parkway
Sharon, MA 02067-1730

Other names 1

  • Sandra B. Jansen Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031208000112 MA Practitioner - Clinical Social Worker 2163327651 Practice locations: Sharon, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

95 Moose Hill Pkwy
Sharon, MA 02067-1730
Phone 78176950502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105863MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healthwise Diagnostic Center Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1851450308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 MOOSE HILL PARKWAY",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020671730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MOOSE HILL PKWY",
            "city": "SHARON",
            "state": "MA",
            "postal_code": "020671730",
            "telephone_number": "781-784-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSEN",
        "first_name": "SANDRA",
        "middle_name": "BISIO",
        "credential": "M.S.W., L.I.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "105863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "JANSEN",
            "middle_name": "B.",
            "credential": "M.SW., L.I.C.S.W.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sharon, MA

Sources for this page

Verify at the official NPI Registry.